Background: A confirmed case of influenza A (H1N1) virus infection is defined as a person with an influenza-like illness with laboratory confirmed influenza A (H1N1) virus infection by real-time RT-PCR or viral culture.
Objectives: To identify demographic and clinical predictors, and outcome of proved cases of H1N1 influenza epidemic in children.
Patients and methods: This study was conducted in Children Welfare Teaching Hospital/ Medical City/ Baghdad on 67 hospitalized patients aged 1 month to 18 years with signs and symptoms suggestive of influenza during the period of outbreak of pandemic influenza A (H1N1) from 1st of October 2009 to 1st of January 2010. Demographic aspect, clinical coarse, laboratory investigations, treatment and outcome were reported. For each patient 2 nasal, 2 throat swabs and single blood sample were collected, and sent to Central Health Laboratory. All suspected patients received Oseltamivir for 5 days. The data were analyzed statistically by Chi-square (χ2) test and Fisher’s Exact Test.
Results: The median age for the studied patients was 7.7 years with a range of 1 month -18 years. 39 patients out of 67 (58.2%) were PCR positive. 34 out of 39 (87.1%) were <6-18 year old while 5 out of 39 (12.9%) were >3-6 years old. No case was reported in age group 1 month-3 years. Twenty eight patients out of 67 (41.8%) were PCR negative. 17/28 (60.7%) were <6-18 years old. 5 out of 28 (17.9%) were >3-6 years old. 6 out of 28 (21.4%) were 1 month -3 years old. Female: male ratio in PCR positive patients was 1.05:1 while it was 1.54:1 in PCR negative patients. Most of the children came from urban area in both PCR positive and negative results. Cough and fever had a higher frequency in both PCR positive and negative patients while
headache was more in epidemic influenza. All PCR positive and 26 out of 28 (92.8%) of PCR negative patients improved while 2 out of 28 (7.2%) of PCR negative patients died.
Conclusions: Children at school age were more prone to acquire epidemic influenza. Both genders were equally affected. Frequency was more in urban area .Cough and fever was the most frequent presentation. Headache was a more common presentation in H1N1 influenza than in seasonal influenza.
Background: Transient tachypnea (TTN) is a common disorder of the newborn. It is characterized by the
early onset of tachypnea sometimes with retractions or expiratory grunting and occasionally cyanosis that is
relieved by minimal oxygen supplementation (<40%).
Objectives: To identify the risk factors and describe the clinical characteristics, treatment and outcome of
infants with TTN.
Patients and methods: This study was carried out on 100 newborn babies with birth weight of 2500 to 4000 &nbs
Background: Guidelines for blood products transfusion are needed to avoid unnecessary blood transfusion in acute and chronic anaemias to minimize complications.
Objective: To evaluate the practice of blood transfusion in Baghdad Teaching Hospital.
Patients and methods: One hundred and sixty adults Iraqi patients, who had blood transfusion, were selected randomly from different wards of Baghdad Teaching Hospital including General Medicine (GM), General Surgery (GS), Gynecology/Obstetrics (G/O), forty patients from each ward, from October 2011 to October 2012. Collected data included age, gender, type of ward, indication for transfusion, pre-transfusion packed cell volume (PCV) and hemoglobin (Hb), type (whole blood or red blood cell
Background: In developing countries, neonatal death account for 99% of neonatal deaths in the world. In Iraq, the neonatal death rates are still unknown.
Objectives: To assess the death rate and the major causes of neonatal death in the neonatal care unit (NCU) in Baghdad Teaching Hospital-Medical City/ Baghdad.
Patients &Methods: A descriptive study of 564 neonatal deaths in the neonatal care unit (NCU) from 1st of January 2007 to 31st of December 2009 in Baghdad Teaching Hospital-Medical City/ Baghdad was carried out, and the causes of death as registered in the neonatal medical records and death certificates were studied.
Results: Neonatal death rate relative to admission was (18.5%). The Neonatal death rates were lower i
Background: Infection with Hepatitis C virus (HCV) is a major cause of chronic liver disease, WHO estimated that about 170 million people are infected with Hepatitic C virus, Silymarin (Legalon) have been recently shown to be effective in treatment of Hepatitic C virus infection.
Objectives: The effectiveness of Legalon (Silymarin) on viral load in patients with Hepatitic C virus infection.
Patients and methods: A prospective case – control study included 400 patients with Hepatitis C virus infection. 200 patients (group A) were treated with (peg-interferon, ribavirin, silymarin) the other 200 patients (group B) were treated with (peg-interferon, ribavirin) . only G1 & G4 genotypes were included , viral load were assessed ini
Objective(s): To assess the burden of mothers` care for child with colostomy and find out relationships between child and mother socio-demographic data with mothers` burden. Methodology: a descriptive study was conducted from 1 August 2013 to 1 September 2014. The sample consisted of 100 children and their mothers at Baghdad Teaching hospital in Baghdad city. A questionnaire was prepared based on the previous literature review, meeting mothers of children with colostomy, and the Zarit Burden Interview scale. Data has collected through the application of questionnaire and interview techniques. Results: T
Background: Lymphoblastic lymphomas (LBL) are neoplasms of precursor T cells and B cells, or lymphoblasts. The term lymphoblastic lymphoma has been used to describe predominantly lymph node– based disease; however, clinical distinction between LBL and acute lymphoblastic leukemia (ALL) has been arbitrary and has varied among different studies and institutions
Objectives: To determine the frequency of LBL among all Non-Hodgkin’s lymphoma (NHL) patients in children and to study the clinical and pathological features of LBL and assess the treatment outcome.
Methods: A retrospective study included 28 children with newly diagnosed LBL (based on morphology) below the age of 14 years over 8 years period from J
Objectives: The study aims to: (1) assess psychological distress in parents of autistic children, (2) identify the
relationship between psychological distress and parents' socio-demographic characteristics such as (age, marital
status, relationship with child, educational level and monthly income) and (3) identify the relationship between
parent's distress and some of children' socio-demographic characteristics such as (gender, age, birth order and
mean number of children).
Methodology: A descriptive–analytical study that was carried out from December 12th, 2011 to May 1st, 2012.
on a purposive (non- probability) sample of 120 parents (father and mother) who have children with autism and
send their children to the
The levels of lead (pb), copper (cu), cobalt (co) and cadmium (cd) were determined in different kinds of milk and the health risks were evaluated. The mean levels were 0.73±0.21, 0.06±0.01, 0.12±0.01 and 0.14±0.01 ppm for these metals respectively. The levels of pb and cu were found to be insignificant differences (p<0.05), whereas the levels of co and cd, were no significant differences (p>0.05). The dry and liquid kinds of milk were different significantly (p<0.05), whereas the original, was no significant differences (p>0.05). The values for all metals were more than one. The metals pb and cd were detected at highest concentrations in most dry and liquid milk samples.
Background: It is becoming increasingly apparent that the study of infant cancer may lead to further understanding of the mechanisms of carcinogenesis, due to the unique clinical, genetic, and epidemiologic characteristics of cancer in infant.
Objectives: To study the clinical and pathological presentation of infants with cancer, their outcome and survival.
Patients & methods: A retrospective study was done over a 6 years period between (Jan.1st.2001- Dec. 31st. 2006), reviewed the records of 85 infants diagnosed and treated in oncology unit, children welfare teaching hospital, medical city-Baghdad.
Results: The majority of patients 57(67%) were from Baghdad & surrounding provinces; Leukemia was the most common type of c
This study provides valuable information on secondary microbial infections in H1N1 patients compared to Seasonal Influenza in Iraqi Patients. Nasopharynx swabs were collected from (12 ) patients infected with Seasonal influenza (11 from Baghdad and 1 Patient from south of Iraq) ,and ( 22 ) samples from patients with 2009 H1N1 ( 20 from Baghdad and 2 from south of Iraq). The results show that the patients infected with 2009 H1N1 Virus were younger than healthy subjects and those infected with seasonal influenza. And the difference reached to the level of significance (p< 0.01) compared with healthy subjects.Two cases infected with 2009 H1N1 virus (9.1%) were fro
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